Prevent antibiotic from abusing Ningbo first hospital draft ask suspend clinic infusion

Prevent antibiotic from abusing Ningbo first hospital draft, ask, suspend clinic infusion
The clinic infusion of going to the first hospital in Ningbo may be more difficult later.
The hospital side claimed yesterday, since March of this year, the hospital was controlling the clinic infusion amount gradually, the infusion quantity of the clinic was reduced by between 150 persons and 200 persons now about 800 persons on average every day in the past, and the goal of the hospital is, cancel the clinic infusion finally.
Ministry of Public Health statistics show 2010 the intersection of China and average the intersection of each person and 8 of infusion, it is too much and too excessive for antibiotic to use, therefore require the hospital to strengthen internal management, control the medical fee to rise.
Nowadays, a institute should reduce the infusion amount in a large amount within short time, even plan to cancel the clinic infusion, will exceed the proper limits in righting a wrong, gone to another extreme of the things again?
More than half patient objects to cancelling the clinic infusion
First hospital (hereafter referred to as a institute) In the intersection of Ningbo and the intersection of city and every large hospital, clinic it is 3 the first for quantity to rank.
2010, get a courtyard of infusion exceed 250,000 persons.
At 10 o'clock yesterday morning, when reporters got to a courtyard, had already stood in a long queue in the infusion hall.
Reporter " whether if hospital cancel the intersection of clinic and infusion, how watch you " Have done a little investigation at random.
Among the 20 patientses inquired, 13 people require infusion voluntarily by oneself, and express the opposition in cancelling the clinic infusion.
Patient Mr. Li says, oneself is engaged in sale, " the infusion is good and fast, taking medicine might not become effective in one or two days, delayed working to get up wounded. "
And because 38.5 degrees of citizen Ms. Pan coming to infuse of high fever, after hearing a institute may cancel the clinic infusion, tell reporters very simply: "Ningbo is not only one home hospital, there is no infusion room in a institute, can go to the other hospitals. "
Pursue convenient infusion simply, enter into, treat mistaken idea
Why reduce even cancel the clinic infusion in a institute? Such a measure is too radical?
One institute president quick to explain, control, reduce even cancel the intersection of clinic and infusion in Ruan line, it is for the financial burden of lightening the patient, it is for providing the rational treatment route for patient too, reduce the unreasonable injury that the patient brings of using medicine correctly.
Ruan LieMin says, " can take medicine and does not have an injection " ,This is a basic principle in medical treatment. Being simply map convenient, patient require the infusion and use antibiotic, has in fact entered into to treat the mistaken idea.
She thinks, the doctors are afraid of leaking and examining, misdiagnosing, too in order to avoid quarrelling to dispute with the patient, having yielded to patient's opinion, all these have caused unreasonable phenomenon of using medicine.
So she call upon citizens can raise to scientific understanding of administration, strengthen sense of self-protection.
In addition, one institute begin, control the intersection of infusion and quantity, use but also go on and manages to antibiotic strictly, demand to use a gleam of antibiotic as much as possible, strengthen the control of using medicine to the doctor rationally.
However, Ruan LieMin adds, it is a goal of the hospital to cancel the infusion room of the clinic, because some emergency cases are more critical, the hospital will also keep infusion of emergency call then.
The infusion has the greatest risk in the administration way
To some patients' objection, a courtyard of clinical pharmacy chief of the office Hu Yi thinks firmly, should make pros and cons and citizen of the infusion clear.
He says, the infusion is with instant effect, but three points of medicines are poisonous, the infusion enters blood directly because of the medicine, also the risk is the greatest in all administration ways.
The specific patient will have allergic response to the infusion, present symptom of trembling, having a fever etc., if find that in time, there are fatal dangers.
Infuse, have, might cause the intersection of fungus and group lack proper care in the human body, appear pain in the back, the intersection of person who suffer from diarrhoea and symptom for a long time, fungus groups of more difficult diseases relatively that disharmony cause manage.
Medicinal liquid of infusion looks very clean, in fact some particles exist inside, some particle diameter exceeds the capillary, these particles flow into the capillary, will cause vascular thromboembolism.
In addition, the principal ingredients of the infusion are antibiotic, used much, what will be produced to antibiotic is able to bear nature in the body, it is not obvious to lose the drug effect afterwards, should use more advanced medicine to be will be effective.
Yi Hu say autopsy find patient that infuse for a long time lung grow a large amount of " the granulation is swollen " firmly ,They will lead to the fact the breathing function of the lung become bad.
The clinic does not set up the room Hangzhou of the infusion there is precedent early
Ruan LieMin says, the hospital cancels the clinic infusion, in fact already there is precedent at home, such as hospital of of Shao Yi in Hangzhou, have cancelled the clinic infusion for a long time.
Reporter consult the intersection of Hangzhou and hospital, husband of ease, Shao subsequently.
The school verifies, in order to lighten patient's financial burden, the hospital controls the intravenous use which instils antibiotic strictly, have cancelled the infusion room, and stipulate that using intravenously must fill in the application form first while instilling antibiotic in clinic.
The reporter consulted Zhejiang University medical college and attached to the second hospital shortly afterwards, this institute enjoys certain popularity at home in using antibiotic rationally.
Spindle of this section chief of hospital infectious disease department Wang Xuan thinks, to the amount of infusion controlled of the hospital, cancel the practice of the infusion room of the clinic should for the affirmation.
He tells reporters, abroad, only the impatient infuses, because the infusion needs observing at any time, there is more and clinic infusion patient, it is very difficult to accomplish this.
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